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A 鶹Ů Health News examination of how the Trump administration is reshaping health care in America.
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Montana health officials say they’re seeking to add doula services to the state’s Medicaid program, reversing a previous statement that they would “not be moving forward” amid a budget shortfall.
Some states already don’t have enough staff to quickly process Medicaid applications and answer enrollees’ phone calls. Researchers say they may not be prepared to handle new Medicaid work rules, predicting people will lose coverage as a result.
North Carolina rolled out a $3.1 billion insurance plan for kids in foster care, but many doctors did not accept patients on the plan. The state is one of several experimenting with a model that has left kids’ guardians scrambling to find health care providers.
About 17,000 federally funded health clinics stand to collectively lose $32 billion under GOP-backed fiscal policies in the next five years — just as more uninsured patients will rely on them for low-cost care.
Federal health officials have ordered states to reverify the immigration status of hundreds of thousands of Medicaid enrollees. After seven months, findings from five states show the reviews have uncovered few immigrants without legal status who are improperly receiving benefits.
The One Big Beautiful Bill Act will add red tape and restrictions for those seeking Medicaid and SNAP benefits. And the costs to update computer systems that determine eligibility for those programs will be steep.
In Georgia, a high number of callers to the 988 crisis line hang up or disconnect before reaching a counselor. Many other calls are transferred out of state.
States facing yawning budget shortfalls have begun cutting Medicaid reimbursements for a wide variety of services. In some states, dramatic cuts are targeting therapies that many families of autistic people say are essential to caring for their loved ones.
Columbia Memorial Hospital near Oregon’s coastline planned to add a tsunami shelter, counting on a FEMA grant. After the Trump administration cut the funding, hospital officials are building anyway, saying waiting is too risky. A judge ruled Dec. 11 that the administration unlawfully ended the program without congressional approval.
People on Medicaid deemed “medically frail” won’t need to meet new federal requirements that enrollees work 80 hours a month or perform another approved activity. But state officials are grappling with how to interpret who qualifies under the vague federal definition, which could affect millions.
California now has a law requiring hospitals and clinics to improve patient privacy and have clear protocols for handling requests by immigration agents. Legal experts say the state can’t fully protect immigrant patients, because federal authorities are allowed in public places, including hospital lobbies, general waiting areas, and parking lots.
Buoyed by a Montana court ruling upholding state residents’ right to a “clean and healthful environment,” nearly two dozen people ages 7 to 24 hope to block the Trump administration’s executive orders on energy.
The Trump administration has pushed a significant amount of health costs to states, whose budgets may already be strained by declining state tax revenues, a slowdown in pandemic spending, and economic uncertainty. State and local governments now face difficult decisions.
California researcher Neeta Thakur is leading a challenge to President Donald Trump’s new administration — one that pits public health science against political ideology. Whether she prevails could influence both the future of academic research and the health of those she’s spent her life trying to help.
Native American groups declare that tribal sovereignty trumps state and federal efforts to restrict or ban gender-affirming care for two-spirit and LGBTQ+ tribal citizens. Tribes are analyzing the risk of opposing Trump’s policies, advocates say.
The anti-abortion movement is rallying around new laws that establish fetal “personhood.” Doctors are scrambling to adjust, but even conservatives don’t always agree on how such laws should be applied.
Colorado, California, and Montana have passed neural data privacy laws meant to prevent the exploitation of brain information collected by consumer products.
State lawmakers unsuccessfully attempted to extend the law this year to cover the intentional exposure of other sexually transmitted infections.
States that run their own health insurance marketplaces fear an end to automatic Obamacare reenrollment under the tax and spending megabill would have an outsize effect on their policyholders.
California lawmakers are poised to approve a six-month delay in implementing the state’s in vitro fertilization law, pushing its start to January 2026. The plan to postpone, which has drawn little attention, is part of the state budget package and has left patients, insurers, and employers in limbo.
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